NCG140205_COMPLETE FILE - HISTORICAL_20180405

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
/vG CCQ 75�
DOC TYPE
❑ COMPLETE FILE - HISTORICAL
DATE OF
RESCISSION
❑ C� �� �S�
YYYYMMDD

,T•,
Environmental
Qva"ffy
Division of Knerpy, Nlineral & Land Resources
Land Quality Sect ionlSturrn+eater Permitting Program
NaLionul Pollutant Disrhargc Hiiminotion SYstr.m
RESCISSION REQUEST FORM
FOR AGENCY USE ONLY
Date Received
Year I Month
Da
i.
A nf%
Please fill out and return this Form if you no longer need to maintain your NPDES stormwater permit.
1 Enter the permit number to which this request applies:
} a q p� �11 rlt�c
Individual Permit (art Certificate of Coverage
2) Owner/Facility Information: ' final correspondence wit! be mailed to the address noted below fit(
Owner/Facility Name Coo (CtA p�� C 0, 0 LG C - -ukn fl�lVl��(
Facility Contact
Street Address
City rlc,ra..,4mg State /Ur— ZIP Code
County 6urLrc E-mail Address ��.,,t=��rx�,�N 40 C'evtc,,,A S'fgdXe
Telephone No. 'ivy -,74 3o Fax: 7v'-1 3134-- S4-5-0
li`f Irj'cr-
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
-20-Znk4
[,,,Facility closed or is closing on �.�e f All industrial activities have ceased such that no discharges of _
stormwater are contaminated by exposure to industrial activities or materials. ?,,It r*(e AAoo-r` W
❑ Facility sold to
on . If the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.`:i,�� �c
Other:
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief
such information is true, complete and accurate.
Signature Date
©�tn<
Print or type name of person signing above Title
Please return this completed rescission request form to
Revised 20183an10
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140205
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM -
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Concrete Supply Co., LLC
is hereby authorized to discharge process wastewater and stormwater from a facility located at
Concrete Supply Co. — Morganton Plant
7 Romarco Rd
Morganton
Burke County
to receiving waters designated as Little -Silver Creek, a class C water in the Catawba River Basin,
in accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts I, I1, 11I,1V, V, and VI of General Permit No. NCG 140000 as attached.
This certificate of coverage shall become effective April 14, 2014
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 14, 2014
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission
trzr.

NCDENR
Norih Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Johnie Alexander
Concrete Supply Co., LLC
P.O. Box 5247
Charlotte, NC 28299
Dear Mr. Alexander:
John E. Skvarla, III
Secretary
April 14, 2014
Subject: NPDES General Permit NCG 140000
Certificates of Coverage -Multiple
Concrete Supply Co., LLC
Formerly CEMEX Construction Materials Atlantic, LLC
Counties - Multiple
Division personnel received your request to revise your stormwater permit Certificates of Coverage
to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificates of Coverage for the 17 facilities that changed
ownership from CEMEX Construction Materials Atlantic, LLC to Concrete Supply Co., LLC. The
terms and conditions contained in the General Permit remain unchanged and in full effect. These
revised Certificates of Coverage are issued under the requirements of North Carolina General
Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions or need further information, please contact the Stormwater Permitting
Program at [phone].
Sincerely,
ORIGINAL SIGNED B)
KEN PICKLE
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville RO, Z. Khan
Winston-Salem RO, M. Gantt
Fayetteville RO, B. Cole
Asheville RO, L. Herbert
Raleigh RO, J. Holley
Division of Energy, Mineral, and Land Resources
Energy Section - Geological Survey Section - Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919.707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: htto:llportal.ncdenr.orolwebllrl
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Deborah Reese, DEMLR Budget Office — please update billing info
Stormwater Permitting Program Files
Central Filets
Mecklenburg County DEP, Water Quality, 700 N. Tryon Street, Charlotte, NC 28202
Wake County Environmental Services, Attn: Eric Green, P.O. Box 550, Raleigh, NC 27602

Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
NCDENR
"° MEWr04oN"`"" mcurt PERMIT NAME/OWNERSHIP CHANGE FORM
FjIVRipNM WT A"q NRf1AL F�_SOURCv'
FOR AGENCY USE ONLY
Date Received
Year
I Month
[day
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N I C I S 10 1 1 1 1 1 1 1 N I C 16 1 1 1 4 0 12 10 5
11. Permit status prior to requested change.
a. Permit issued to (company name): CEMEX Construction Materials_ Atlantic, LLC
b. Person legally responsible for permit: Larry McSwain
First MI last
VP/GM Carolinas
Title
101 Young Court
Permit Holder Mailing Address
Greenville SC 29615
City State Zip
[phone] [phone]
Phone Fax
Facility name (discharge): CEMEX — Morganton
Facility address: Romarco Rd
Address
Morganton NC 28655
City State Zip
e. Facility contact person: Johnny M Tapia_ [phone] _
Ti
First / MI / Last Phone
111. Please provide the following for the requested change (revised permit).
a. Request for change is a result of; ® Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
(M&Nanr9
OCT t 7 2013
d. Facility name (discharge):
e. Facility address:
f. Facility contact person:
Concrete Supply Co., LLC
Henry Batten
First MI - --Last ---- —
President
Title
P.Q. Box 5247
Permit Holder Mailing Address
Charlotte NC 28299
City
State Zip
[phone]
[e-mail]
Phone
E-ntail Address
Mor�onn
�Romarco Rd
Address
Morganton
NC 28655
City
State Zip
Johnie
Alexander
First
MI Last
Johnie. Alexander@ConcreteSupplyCo.
[phone]
com

NPDES PERMIT NAME/OWNERSHIP CHANGE FOAM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Johnie Alexander
First MI Last
Environmental Manager
Title
P.O Box 5247
Mailing Address
Charlotte NC 28299
City state Zip
[phone] [e-mail]
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior to
this ownership or name change?
x Yes
❑ No (please explain)
Vl Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
X This completed application is required for both name change and/or ownership change requests.
X Legal documentation of the transfer of ownership (such as relevant pages of a contract deed, or
a bill of sale) is required for an ownership change request. Articles of incorporation are not
sufficient for an ownership change.
.....................................................................................................................
The certifications below must be completed and signed by both the permit holder prior to the change, and the
new applicant in the case of an ownership change request. For a name change request, the signed Applicant's
Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, Larry McSwain, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. 1 understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
9-/9 0 �,3
Signature Date
APPLICANT CERTIFICATION
I, Henry Batten, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
7 Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 712008

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140205
STORM WATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
CEMEX CONSTRUCTION MATERIALS ATLANTIC, LLC
is hereby authorized to dischargdstormwater from a facility located at
CEMEX-MORGANTON
7 ROMARCO ROAD
MORGANTON
BURKE COUNTY
to receiving waters designated as Little Silver Creek, in the Catawba River Basin, in accordance with the
effluent limitations, monitoring requirements, and other conditions set forth in farts 1, 11, III, and IV, V
and VI of General Permit No. NCG140000 as attached.
This certificate of coverage shall become effective November 14, 2008.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 14, 2008.
— � I zw_ �11
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

F'NATF
�O 9� Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Q ^� Coleen H. Sullins, Director
Division of Water Quality
November 14, 2008
Roy J. Schorsch
Cemex Construction Materials Atlantic, LLC '
9335 Harris Corners Parkway
Suite 200
Charlotte, NC 28269
Subject: NPDES General Permit NCG 140000
Certificate of Coverage NCG 140205
Cemex Construction Materials Atlantic, LLC
Fonnerly Cemex Construction Materials, LP
Burke County
Dear Mr. Schorsch:
On September 8, 2008, Division personnel received your request to revise your stortnwater permit Certificate
of Coverage to accurately include you new company name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General
Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued under the requirements
of North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and
the U.S. Environmental Protection Agency.
If you have any questions, please contact the Stormwater Permitting Unit at [phone].
Sincerely,
ej-,,14A—
COICen_4, 40 H. Sullins
cc: DWQ Central Files
Asheville Regional Office
Stormwater Permitting Unit
o ` NhCarolina
,Natitrally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o enr.state.nc.us 512 N. Salisbury St, Raleigh, NC 27604 FAX [phone]
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January 5, 2007
Mr. Ken Pickle
North Carolina Dept. of Environment and Natural Resources
Division of Water Quality
Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Change -in -Contact Name
Permit No.'s (see attachment)
Cemex Construction Materials, L.P.
Dear Mr. Pickle:
This letter is to advise you of an update in environmental contact for all Ready Mix and
concrete block plants owned or operated by Cemex Construction Materials, L.P., (please
see attachment).
The previous contact, Mr. Chris Crouch no longer works for our organization. The new
contact is Mr. Pat Strader who is the Vice-president and General Manager for the
Carolinas. The address is the same as before in Spartanburg, SC.
I thank you in advance for forwarding this information to the appropriate personnel
within the sections of the Division of Water Quality. If you have any questions or need
additional information related to environmental issues at these sites, I can be reached by
telephone at [phone].
Sincerely,
A
. Tapia, P.E.
ental Manager
Attachment.
P.O. Box 1292, Spartanburg, South Carolina 29304. USA. [phone], Fax: [phone]

79
LIST OF WATER QUALITY PERMITS IN NORTH CAROLINA
CEMEX CONSTRUCTION MATERIALS, L.P.
PLANT STORMWATER
1. Gastonia NCG140133
2—Morganton y _ NCG140205 7 '
3. Pineville NCG140198
4. Indian Trail NCG140192
5. Marion Block NCG070129
6. Hendersonville Block NCG070130
7. Asheville Block NCG070134
8. Franklin Block ' NCG070136
9. Hickory Block NCG070009
d
P.O. Box 1292, Spartanburg, South Carolina 29304. USA. [phone], Fax: [phone]

whp Y'�
March 17, 2006
Mr. Chris Crouch
Cemex Construction Materials LP
PO Box 1292
Spartanburg, SC 29304
Dear Mr. Crouch:
Michael F. Easlcy, GOVCrn UI'
Wiltiam G. Ross Jr., Seerctary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Subject: Permit No. NCG140205
CEMEX Construction Materials, LP
Formerly RMC Metromont Materials
Burke County
Division personnel have reviewed and approved your request to change your name under the General Permit,
received on February 13, 2006.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General
Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued under the requirements of
North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
f you have any questions, please contact the Stormwater Permitting Unit at [phone], extension 502.
Sincerely,
0111GI rAL srGNED 3,,
Alan W. Klimek P. E.
cc: D WQ Central Files
Asheville Regional Office, Water Quality Section
Stormwater Permitting Unit
None
�r tCarolina
"
N alm-ally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27004 FAX [phone]•623-6748
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT. AND NATURAL RESOURCES
DIVISION OF WATER QUALITY .
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140205
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
CEMEX CONSTRUCTION MATERIALS, LP
is hereby authorized to discharge stormwater from a facility located at
CEMEX-MORGANTON
7 ROMARCO ROAD
MORGANTON
BURKE COUNTY
to receiving waters designated as Little Silver Creek, in the Catawba River Basin, in accordance with the effluent
limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit
No. NCGt40000 as attached.
This certificate of coverage shall become effective March 17, 2006.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 17, 2006. ORIGINAL SIGNED SY
{E1 PICKLE
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
1 A •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT ANp NATURAL RESOURCES
July 26, 1999
WARREN COCHRAN
METROMONT MATERIALS CORP - MORGANTON
P.O. BOX 1292
SPARTANBURG, SC 29304
Subject: Reissue - NPDES Stormwater Permit
Metromont Materials Corp - Morganton
_ COC Number NCG 140205
Dear Permittee: Burke County
In response to your renewal application for continued coverage under general permit NCG140000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit is reissued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
* A copy of general Stormwater permit NCG140000
* A Stormwater Pollution Prevention Plan (SPPP) Certification Form. Completion of this form is required to
certify that you have developed and implemented the SPPP as per the conditions of the permit. This form
must be completed and returned to the Division within 30 days of receipt of this letter.
DO NOT SEND the SPPP with the signed form.
* Five copies of the Analytical Monitoring form and five copies of the Qualitative Monitoring form
* A copy of a Technical Bulletin for the general permit which outlines changes in the permit, key requirements,
and addresses frequently asked questions
* A Certificate of Coverage
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or
decree.
If you have any questions regarding this permit package please contact Bill Mills of the Central Office Stormwater
and General Permits Unit at [phone], ext. 548
Sincerely.
for Kerr T. Stevens
cc: Central Files
Stormwater and General permits Unit F:'_;
Asheville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140205
STORMWATER AND PROCESS WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
METROMONT MATERIALS CORP - MORGANTON
is hereby authorized to operate a process wastewater treatment system, and is hereby authorized to discharge process
wastewater and stormwater from a facility located at
NETROMONT MATERIALS CORP - MORGANTON
P.O. BOX 1847
MORGANTON
BURKE COUNTY
to receiving waters designated as Little Silver Creek in the Catawba River Basin
in.accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, I1I,
IV, V, and V1 of General Permit No. NCG140000 as attached.
This certificate of coverage shall become effective August 1, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 26, 1999.
for Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Mr. Warren Cochran
Metromont Materials Corp.
P. O. Box 1292
Spartanburg, SC 29304
Dear Mr. Warren Cochran:
November 17, 1995
ffl�.'�VA
IT41
A& 0 0
AdOwnd
C)EHNR
Subject: General Permit No. NCG 140000
Metromont Materials Corp.
COC NCG 140205
Burke County
In accordance with your application for a stormwater discharge permit received on June 5, 1995, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES general
permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated
December b, 1983.
The stormwater permit you are receiving, NCG 140000, does not permit wasting concrete, dumping excess
concrete, directly into storm sewer outfalls or into waters of the state. Any facility which either dumps excess
concrete or washes excess concrete into storm sewers or waters of the state will be operating in direct violation to
both the terms of this permit and the North Carolina General Statutes. Such a discharge shall be considered an
illegal discharge and may subject the owner to enforcement actions in accordance with North Carolina General
Statutes 143-215.6A
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to
you, you have the right to request an individual permit by submitting an individual permit application. Unless
such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division of
Environmental Management. The Division of Environmental Management may require modification or revocatior
and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Environmental Management or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any question concerning this permit, please contact Mr. Bill Mills at telephone number 9191733-
5083, extension 548.
Sincerely, ORGINAL SIGNED BY
SRADLEY BENNFTr
A. Preston Howard, Jr. P.E.
cc: Asheville Regional Office
Mr. Roger O. Pfaff, P.E., EPA
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCC440000
CERTIFICATE_ OF COVERAGE NO._NCG140205
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Metromont Materials Corp.
is hereby authorized to discharge stormwater and rinse waters from a facility located at
Morganton Ready Mix Plant
Morganton
Burke County
to receiving waters designated as Little Silver Creek in the Catawba River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV of General Permit No. NCG 140000 as attached.
This Certificate of Coverage shall become effective November 17, 1995.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November I7, 1995.
ORIGiN&:if4hff� tad
D?'�AMEY BENNEIT
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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FACILITY -�fo► ,Yd- M6fierIetc-*
COUNTYjl,�r ke_
NPDES I C-.C-, I � v ao S.
MAP # ! a Al id
DSN FLOW
SUB BASIN 3_og 31
LATTITUDE 3 �5 /r/3 Se'
L0NGil "TUDE -25>I °
RECEIVING STREAM Ll f-He- ' r;dvcr CreefL
STREAM CLASS w:5 -
DISCHARGE CLASS S}ormi-oftAV-
EXPIRATION DATE O 713tl qq